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Mental Health:
Challenges and Opportunities
Presentation by Ron Honberg, J.D.
Senior Advisor, Policy and Advocacy
National Alliance on Mental Illness (NAMI)
September 21, 2016
Presentation Topics
The Push for federal mental health reform
The facts about mental illness and
violence
Mental illness and the justice system
A promising approach to treating Early and
First Episode Psychosis
Policy Challenges moving forward
Questions and discussion
Non-controversial
provisions
Suicide prevention
Strengthen enforcement of parity
Improved integration of physical and mental
healthcare
Strengthen MH workforce
Improve crisis responses
Maintain or strengthen set aside for FEP
Improve translation of research into practice
Same day billing
Tele-mental health services
Controversial Issues
Court-ordered outpatient treatment or
Assisted Outpatient Treatment (AOT)
Communications with caregivers (HIPAA)
Institutions for Mental Diseases (IMD)
exclusion in Medicaid
Role of SAMHSA
Federal protection and advocacy program
Lost in Translation
Elimination of 190 day lifetime limit on
inpatient care in Medicare
Expansion of Excellence in MH Act Demos
Behavioral Health IT improvements
Curbs on ability of Medicare Part D plans to
limit access to psychiatric meds
Broader IMD reforms
Reforms to federal substance abuse
confidentiality law (42 CFR Part 2)
5%
Serious
Mental Illness
Jail Population
17%
Serious
Mental Illness
72%
Co-Occurring
Substance Use
Disorder
Promising Research
RAISE multi-site NIMH funded study found
improved quality of life for those in FEP
programs
Multiple research studies in other
countries (AU, UK, Canada and others)
also show positive outcomes for those
receiving services in early and FEP
programs
Challenges in Financing
Current 10% set aside in Mental
Health Block Grant for FEP.
But, insurance coverage is needed
for the full array of specialty care.
Private insurers and Medicaid do not
typically cover supported
employment and education.
Bundled rates and other approaches
to cover full array of services are
needed.
Thank You!
Ron Honberg, J.D.
Senior Advisor, Policy and Advocacy
NAMI
RonH@nami.org
703-516-7972
www.nami.org